Volume 33 - Article 8 | Pages 211–238  

Ideation and intention to use contraceptives in Kenya and Nigeria

By Stella Babalola, Neetu John, Bolanle Ajao, Ilene Speizer

Abstract

Background: Contraceptive use remains low to moderate in most African countries. Ideation, or the ideas and views that people hold, has been advanced as a possible explanation for differences in contraceptive use within and across countries.

Objective: In this paper, we sought to identify the relevant dimensions of ideation and assess how these dimensions relate to contraceptive use intentions in two illustrative countries, Kenya and Nigeria.

Methods: Using factor analysis, we first identified the relevant dimensions of ideation from a set of cognitive, emotional, and social interaction items. Subsequently, we examined the relationships of these dimensions with intention to use contraceptives.

Results: The data revealed four dimensions of contraceptive ideation in both countries: perceived self-efficacy, myths and rumors related to contraceptives, social interactions and influence, and contraceptive awareness. All four dimensions of ideation are strongly associated with contraceptive use intention in Nigeria. Only perceived self-efficacy was significantly associated with contraceptive use intention in Kenya.

Conclusions: The ideation model is relevant for contraceptive use research and programing. Programs seeking to increase contraceptive use and help women to attain their desired family size should prioritize promotion of contraceptive self-efficacy. In addition, in countries with low contraceptive prevalence, programs should seek to identify ways to correct prevailing myths and rumors, increase contraceptive awareness, and promote positive social interactions around contraceptive use.

Author's Affiliation

• Stella Babalola - Johns Hopkins Bloomberg School of Public Health, United States of America EMAIL
• Neetu John - Johns Hopkins University, United States of America EMAIL
• Bolanle Ajao - Johns Hopkins University, United States of America EMAIL
• Ilene Speizer - University of North Carolina at Chapel Hill, United States of America EMAIL

Other articles by the same author/authors in Demographic Research

Factors explaining the North–South differentials in contraceptive use in Nigeria: A nonlinear decomposition analysis
Volume 38 - Article 12

Trends in the completeness of birth registration in Nigeria: 2002-2010
Volume 35 - Article 12

Most recent similar articles in Demographic Research

Predictive utility of key family planning indicators on dynamic contraceptive outcomes: Results from longitudinal surveys in Burkina Faso, Kenya, Uganda, and Côte d'Ivoire
Volume 50 - Article 45    | Keywords: contraception, contraceptive adoption, contraceptive discontinuation, contraceptive use, family planning, longitudinal data, methods, panel data, Performance and Monitoring for Action (PMA) surveys, sub-Saharan Africa

Religion and contraceptive use in Kazakhstan: A study of mediating mechanisms
Volume 50 - Article 21    | Keywords: contraceptive use, Generations and Gender Programme (GGP), Kazakhstan, mediation, religion, religiosity

Does the fulfillment of contraceptive method preferences affect contraceptive continuation? Evidence from urban Kenya, Nigeria, and Senegal
Volume 50 - Article 5    | Keywords: contraceptive discontinuation, contraceptive dynamics, contraceptive preferences, contraceptive use, family planning, patient-centered approach, preferences

Use of standard verbal autopsies to improve the mortality data capacity of civil registration and vital statistics systems in low- and middle-income countries: Analysis of key issues
Volume 49 - Article 10    | Keywords: CRVS systems, data collection, LMICs, mortality data, Nigeria, verbal autopsies

Measuring contraceptive use in India: Implications of recent fieldwork design and implementation of the National Family Health Survey
Volume 47 - Article 4    | Keywords: contraceptive use, measurement, population survey, survey design